DR. MARGARET HANCOCK SULLIVAN MD
NPI 1619209459
Obstetrics & Gynecology in Marion, NC

Active since February 04, 2010PECOS EnrolledAccepts Medicare Assignment
99.72/100
CMS Quality Rating
1633 SUGAR HILL RD, MARION, NC 28752(828) 659-3621 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Margaret Hancock Sullivan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARGARET HANCOCK SULLIVAN MD (NPI 1619209459) is an individual obstetrics & gynecology provider in Marion, North Carolina, licensed in North Carolina (141509) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS, is affiliated with The Mcdowell Hospital, and is a graduate of University Of California, San Francisco School Of Medicine (2007).

NPPES Registry Identity

NPI1619209459
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARGARET HANCOCK SULLIVANCredential: MD
Location Address1633 SUGAR HILL RDMarion, NC 28752-5239
Mailing Address1633 Sugar Hill RdMarion, NC 28752-5239 · (828) 659-3621
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2007
Enumeration DateFebruary 4, 2010
Last NPPES UpdateFebruary 10, 2022
NPI 1619209459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NC · 141509
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1633 SUGAR HILL RD, Marion, NC 28752

Other Names 1

Former Name (1)Margaret Ellen Hancock M.d.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Margaret Hancock Sullivan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426236951
PECOS Enrollment IDI20110701000117
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Mcdowell Hospital

Acute Care Hospitals · Marion, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340087
Location430 Rankin Drive P O Box 730Marion, NC 28752 · Mc Dowell County
Emergency services Birthing friendly

Blue Ridge Regional Hospital

Critical Access Hospitals · Spruce Pine, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341329
Location125 Hospital DriveSpruce Pine, NC 28777 · Mitchell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28752 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Radiology)
1633 SUGAR HILL RD
MARION, NC 28752
Clinic/Center
1633 SUGAR HILL RD
MARION, NC 28752
Clinic/Center (Rural Health)
1633 SUGAR HILL RD
MARION, NC 28752
Obstetrics & Gynecology
1633 SUGAR HILL RD
MARION, NC 28752
Nurse Practitioner (Family)
1633 SUGAR HILL RD
MARION, NC 28752
Clinic/Center
1633 SUGAR HILL RD
MARION, NC 28752
Preventive Medicine (Occupational Medicine)
1633 SUGAR HILL RD
MARION, NC 28752
Physician Assistant
1633 SUGAR HILL RD, SUITE 1
MARION, NC 28752

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Margaret Sullivan's NPI number?

The NPI number for Margaret Sullivan is 1619209459. It was assigned to this individual provider in the NPPES registry on February 4, 2010. The provider is also known as Margaret Ellen Hancock M.D..

Where is Margaret Sullivan located?

Margaret Sullivan practices at 1633 Sugar Hill Rd, Marion, NC 28752. The listed phone number is (828) 659-3621.

What is Margaret Sullivan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Margaret Sullivan enrolled in Medicare?

Yes. Margaret Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Margaret Sullivan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Margaret Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Margaret Sullivan affiliated with any hospitals?

According to CMS data, Margaret Sullivan is affiliated with The Mcdowell Hospital and Blue Ridge Regional Hospital.

When was this NPI record last updated?

The NPPES record for Margaret Sullivan was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.